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"Making Possibilities a Reality"

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    Biofeedback Understanding/Consent

    BTBT Understanding Biofeedback 7.2020.pd
    BTBTUnderstanding Biofeedback Form 3.202
    BTBT HIPPA PHI Sheet 4.2020.pdf
    BTBT HIPPA PHI Sheet 4.2020.pdf

    HIPPA/PHI Sheet

    BTBT Medical Communication Consent 3.202
    BTBT Medical Communication Consent 3.202
    BTBT Intake Form 3.3030.pdf
    BTBT Intake Form 3.3030.pdf

    Intake Form

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    BTBT Private Pay 5.2020.pdf
    BTBT Private Pay 5.2020.pdf

    Private Pay

    BTBT Informed Consent 4.2020.pdf
    BTBT Informed Consent 4.2020.pdf
    BTBT Release of Information 5.2020.pdf
    BTBT Release of Information 4.2020.pdf

    Medical Communication Consent

    Informed Consent

    Release of Information

    BTBTAdultIntakeInfosheet 5.2020.pdf
    BTBTAdultIntakeInfosheet 5.2020.pdf

    Adult Intake Information

    Telehealth Consent 3.24.2020.pdf
    Telehealth Consent 3.24.2020.pdf

    Telamedicine Consent

    Consent to Communicate 4.2020.pdf
    Consent to Communicate 4.2020.pdf

    Consent to Communicate

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    407 West Broadway Street -  Forest Lake, MN 55025 

    Tel 651.408.3174          Fax 651.464.2289    

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